CAJ | 학술논문

目的探讨采用局部随意皮瓣修复颜面部各种病变切除后及外伤致皮肤软组织缺损的临床效果.方法 2008年7月-2013年6月,应用局部随意皮瓣修复颜面各部位皮肤软组织缺损56例,根据缺损的部位、形状及大小,设计不同的局部随意皮瓣,转移修复颜面部皮肤软组织缺损创面.结果术后皮瓣全部存活良好,所有创面均Ⅰ期修复,随访3～6个月,切口愈合良好,色素沉着及瘢痕增生不明显,外形效果满意.结论应用局部随意皮瓣修复颜面部皮肤软组织缺损可获得得满意的外观和功能效果,值得临床推广.
목적 탐토채용국부수의피판수복안면부각충병변절제후급외상치피부연조직결손적림상효과.방법 2008년7월-2013년6월,응용국부수의피판수복안면각부위피부연조직결손56례,근거결손적부위、형상급대소,설계불동적국부수의피판,전이수복안면부피부연조직결손창면.결과 술후피판전부존활량호,소유창면균Ⅰ기수복,수방3～6개월,절구유합량호,색소침착급반흔증생불명현,외형효과만의.결론 응용국부수의피판수복안면부피부연조직결손가획득득만의적외관화공능효과,치득림상추엄.
Objective To explore clinical efficacy of local random flap in reconstruction of facial skin and softtissue defects caused by lesions resection and injury.Methods Forty-six cases with facial skin and soft-tissue defects were cured by constructing and transplanting different local random flap that is designed according to parts,shapes and sizes of defect between July of 2008 and June of 2013.Results All the cases obtained satisfactory effects for full survivorship of flap,one-stage healing of wound,tiny scar and pigmentation,and good appearance by following up from 3 months to 6 months after operation.Conclusions Using local random flap in repair of facial skin defect could get satisfactoried functional and aesthetic efficacy,and it is worth being applicatied in the clinic.